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Zur Dokumentation der neurologischen Ver- aМnderungen hat sich das Frankel-Schema bewaМhrt. Diagnostik und Therapie Entscheidend ist die exakte neurologische Verlaufsbeobach- tung. Die Prognose ist umso guМnstiger je fruМher eine Dekompression erfolgt (s. Kap. 11). 5 Becken und Oberschenkel Beckenfrakturen Die Inzidenz betraМgt 3 aller Frakturen, bei Polytraumatisierten allerdings 20. HaМufigkeitsgipfel finden sich zwischen dem 2. und 3. und 75. und 85. Lebensjahr. Unterschieden werden Beckenring- und Aze- tabulumfrakturen.

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Bei der Commotio spinalis bestehen voruМbergehende klinische Ausfallerscheinungen ohne morphologisches Korrelat. Die Contusio spinalis ist durch eine Einblutung in das Labor gekennzeichnet. Sie muМndet uМber Vary ппппппф Definition ппund Organisation in ein narbiges Defektstadium. Eine Compressio spinalis ist durch eine raumfordernde Einblutung gekennzeichnet. ппп пппChapter 16 Therapeutic Nursing Management in Serum Care 317 пdemand.

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